Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | CO |
NPI | 1023313368 |
---|---|
Provider Name | Dr. Jay Gilbert |
First Address | Edwards, CO 81632-0453 |
Second Address | Edwards, CO 81632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2011 |
Last Update Date | 18/01/2011 |